Michael J. Siegel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00511800 Issued in NJ

Practice address

135 Route 46 East
Unit E, Paramount Plaza
Budd Lake, NJ 07828

Phone

(862) 258-3200

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Source of Mt Olive, LLCGroup PAC ID 1850544966, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drsiegel@visionsourcemtolive.eyefinity-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vision Source of Mt Olive LLC

  • Optometrist
  • Budd Lake, NJ
  • NPI 1063766202
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Eyecare Associates, LLC

  • Optometrist
  • Ledgewood, NJ
  • NPI 1972548824
  NPD (past) Authorized official
• Advanced Eyecare Professionals LLC

  • Optometrist
  • Ledgewood, NJ
  • NPI 1255846465
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1427035005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 RT. 46 EAST",
            "address_2": "UNIT E, PARAMOUNT PLAZA",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "07828",
            "telephone_number": "862-258-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 ROUTE 46 EAST",
            "address_2": "UNIT E, PARAMOUNT PLAZA",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "07828",
            "telephone_number": "862-258-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00511800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Harvey Schwartz, DMD
• Brianna Sebasto
• Noha Sedik
• Irina Shutak
• Aaron J Siegel, MSN, APN, AGPCNP-C
• Nathan Samuel Siegel, MS, OTR/L
• Dawn Tamara Singleton
• James Randolph Smith, M.D.
• Jaime Solano
• Izabela Dominica Solon, N/A

• Optometrist in Budd Lake, NJ
• Providers in Budd Lake, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.